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激进囊切除术和尿路转移后尿路肠道狭窄的危险因素:系统性审查
Osama Mahmoud1,2, Ulrich Krafft1, Mulham Al-Nader1
1Department of Urology, University Hospital Essen, Essen, Germany.
Arab journal of urology
|January 11, 2024
概括
激进囊切除术 (RC) 和尿路转移 (UD) 后的尿道狭窄 (UES) 可能会损害功能. 高体重指数 (BMI),机器人辅助RC (RARC) 和术后并发症是UES发展的关键风险因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 尿路肠道狭窄 (UES) 是根源性囊切除术 (RC) 和尿路转移 (UD) 后的一个重大并发症.
- 在接受这些手术的患者中,UES是导致功能恶化的主要原因.
- 确定UES的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 系统地审查和总结与激进囊切除术 (RC) 和尿路转移 (UD) 后尿道狭窄 (UES) 发展相关的已识别的风险因素.
- 为外科医生提供见解,以潜在地修改治疗或后续策略,以减轻UES作为并发症.
主要方法:
- 使用PubMed数据库进行了全面的文献搜索.
- 包括的研究主要集中在确定RC后的UES和UD的风险因素上.
- 此外,我们还检查了来自已识别的论文的参考文献,以进行其他相关研究.
主要成果:
- 2013年至2022年间发表的15项观察性回顾性研究,包括13,481名患者,符合纳入标准.
- 高体重指数 (BMI),外科手术期间尿路感染 (UTI),机器人辅助激进囊切除术 (RARC),严重的术后并发症 (Clavien-Dindo等级≥3) 和尿液泄漏经常被报告为UES的危险因素.
- 确定了许多其他潜在的风险因素,但报告频率较低.
结论:
- 目前的文献主要由回顾性研究组成,强调需要对UES倾向因素进行精心设计的前性研究.
- 现有证据表明,高BMI,RARC和复杂的术后过程是UES形成的重要因素.
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